Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07784 | Date 13/03/2020 |
| Token No | SM/19-20/19597 13/03/2020 | Serial | 071 Last Visit: 13/03/2020 |
| Patient Name | Mr. RAHUL MALI | Contact No | 8420280375 |
| Address | 18 S.C.M ROAD CHANPDANI | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||